Wasatch Eye and Optical PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

3450669934 Issued in UT

Legal business name

WASATCH EYE AND OPTICAL PC

Doing business as

Mark A Taylor

Practice address

128 N Main St
Kaysville, UT 84037-1951

Phone

(801) 543-2525

Fax

(801) 593-1982

NPI assigned

Oct 10, 2007

Last updated

Jan 15, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mark Allen Taylor, ODNPI 1811992555

Title

Optometrist

Phone

(801) 543-2525

Specialties & licenses 1

Addresses

Other names 1

• Mark A Taylor Doing business as

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mark A Taylor, O.D.

  • Optometrist
  • Kaysville, UT
  • NPI 1811992555
  Medicare reassignment NPD Authorized official
• Russell Purdy, OD

  • Optometrist
  • Layton, UT
  • NPI 1295823029
  NPD (past)
• Trevor Rigby

  • Optometrist
  • Ogden, UT
  • NPI 1831987262
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1191974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579046400000",
    "number": "1700074184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 792",
            "city": "KAYSVILLE",
            "state": "UT",
            "postal_code": "840370792",
            "telephone_number": "801-543-2525",
            "fax_number": "801-593-1982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 N MAIN ST",
            "city": "KAYSVILLE",
            "state": "UT",
            "postal_code": "840371951",
            "telephone_number": "801-543-2525",
            "fax_number": "801-593-1982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WASATCH EYE AND OPTICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-10",
        "last_updated": "2020-01-15",
        "certification_date": "2020-01-15",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "801-543-2525",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "UT",
            "license": "3450669934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mark A Taylor",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mark A Taylor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tyler Wall, DO
• Dallas Ward, CNIM
• Nicole K Wardell, LCSW
• Shawn Warren, DNP, PMHNP-BC
• Wasatch Assessments, LLC
• Wasatch Worx Home Health
• Mark Nathan Welch
• Bryton McKay Wells, DC
• Cheryl Ann Wentworth, APRN
• Pamela P Westover

• Optometrist in Kaysville, UT
• Providers in Kaysville, UT by specialty
• Optometrist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.